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IPACHTE#_Q ~ al s 1~- Harnett County Department of Public Health 2 5 2 4 4 (mRrovement Permit A building permit cannot be issued with only an Improvement Permit ( PROPERTY LOCATION: 2 - ISSUED TO: CAU %vv 6 ~ c 1 SUBDIVISION E S t Y~ L LOT # l 4S` NEW)e REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: - - -l - --~,_6_ - Proposed Wastewater System Type: Sl Projected Daily Flow: GPD Number of bedrooms: Number of Occupants: (o max Basement ❑Yes 9% Pump Required: ❑Yes ❑ No 'May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community '0 Public ❑ Well Distance from well 0,3 feet Permit valid for. ;W Five years Permit conditions: A4 a a A , r. J t hS ❑ No expiration 1 STu O' ^1 ~',^r~~J\__Y\ S~ 1 sV\f4„ o L_3 r#-+ o v,c ( k c ( ly-A i O[:-t, 1 J~,o r c (~1n1 Authorized State Agent:: ~(Q Date: Cad. )7~ JSEE ATTACHED SITE SKETCH The issuance of this permit by the Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the s'2p n, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the laws and Rules for Sewage Trea and disposal and to conditions of this permit. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1 9S2, .1954, .I 95S, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout ISSUED TO: CAut'ncii Lpnd PROPERTY LOCATION: 112 t- SUBDIVISION 1, 0000 fi,LOT # I'Ff Facility Type: jFD 3~ ^1- C3~ New ❑ Expansion ❑ Repair Basement? ❑ Yes 7~L No Basement Fixtures? ❑ Yes - No Type of Wastewater System** 2-S 1k (led- ,b,.~ (Initial) Wastewater Flow: 3 c~ GPD (See note below, if applicable J1, J'3-fQ-' (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size I0o,-3 gallons Exact length of each trench ISO feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 19 d It inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: h. TDH vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe inches above pipe inches total **If applicable: / underatand the syrtem type specified if different from the type specified an the application, /accept the rpeci6cationr of thi permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revoration if the city plan nlat nr the intondad uto Ann- Th. fnmm~rtinn Anrh-i-i- AMII ,.,,r 6..-r,...,a .ti.,..:. tonstrucuon Authonzation is subject to com f nce with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: L L )F Date: L).2 ~c7 Construction Authorization Expiration Date: .2 - 13 :101 HTE# 02 "S Jy- a I 1 Permit # a Qa q Harnett (bounty Depa tlnent of 11i- blic Health Site Sketch ISSUED TO: LC-41--Id PROPERTY LOCATON: 1/21- Authorized State Agent: r~ I _l 141 Q~ 0 ~y A-xt w Y, _ SUBDIVISION C✓J ~rl S , lz t LOT # Date: Pt4- ©n sA-6 -For ~Fl„p t L.A3 -1 mpg,, 4,,v gj1sc [3A(k1 L 5746 ormf Plw4in shA(hL-j s k[.4n .LnS P,A 22 ff) 132 s ueparunent ui anvuvnnient, nGmui, aiw 1vaiu o - - Division of Environmental Health Property ID: On-site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Applicant: Owner: Jv -L Address: Proposed Facility: Design Flow ( 1949): Location of Site: j j2 r Water Supply: [ j Public Individual [ J Well Evaluation Method: Auger Boring [ ] Pit Type of Wastewater: [ J Sewage [ J Industrial Process Date Evaluated: Property Size: Property Recorded: [ ) Spring [ ] Cut ( ] Mixed [ ) Other P R O' F SOIL MORPHOLOGY .1941 OTHER' PROFILE FACTORS- ` Y r 1 L E` # .1940 Landscape Position/ Slo e% Horizon Depth (IN.) 1941 Structure/ Texture 1941 Consistence Mineralogy .1942 Soil - Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz Profile~~ Class & LIAR 0_3 sL. AC J ` - v0 rC Description Initial System Repair ystem Available Space (.1945) System Type(s) S~ ~ Site LTAR Other Factors (.1946): Site Classification (.1948): Evaluated By: Others Present: